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`�� C C�`NSTRUC�ION � < �7 <br /> everett PEF�MIT PERMITNO. 20 f 72 <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBINATIOM ❑ BUILDING �MECHANICAL ❑ PLUMBINCi ❑ SIGN <br /> OWNEF MAllA0DRE55 CITY ZIP PMONE <br /> Pandall K. Brower 3431 Friday Ave. Everett 98201 258-2211 <br /> ARCHITECT OR DESIGNER MAIL AODRE55 CIiY ZIP PMONE <br /> GENER�L CONTR�CTOP MAIL ApORE55 CITY ZIP PHONE LICENSE� <br /> �!�ECHANICQ CONTB�GTOR MAIL AOORESS CITY 21P PMONE LICENSE� <br /> owner <br /> PLUMBINGLONTRACTOR MAILADDRE55 CITV 21P PMONE LIC�NSE� <br /> GLnC50F WORK <br /> ❑ NEYV ❑ ADOITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> V�LUATION OF WORK <br /> s <br /> DESCFiBE WORK <br /> Inspect existing woodstove. <br /> MEATSOUPCE <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTMER <br /> vnoaoseouseoceuaort+c 1 HEREBY CcRTIFY THAT I FIAVE READ AND EXAMINED THIS <br /> SFR APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEOALDESCRIVTIONOFViIOPERTY�SHOWBELOWORATfACMFOURCOPIES� CORRECT. ALL PROVISIONS OF LA�'1S AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WI�L BE COMPLIED IYITH <br /> LOT�B�OLK �OF WHETHER SPECIFIED HEP� OR NOT. THE GRANTING OF A <br /> FERMIT �OES NOT PRESUME TO GIVE AUTHORITV TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PERFORMANCE OF CONSTRUCTION. <br /> JOBA�ONE55 SIGNAT,Uf OfCON�TR�A�C�T/O�.AUTIS{��2E�D�AG�E�NT�.OAOWNER ORTE p <br /> 3931 Frida Ave. X l��ek+�A�t%C .�'" "�w� 3�/ d <br /> PLUMBING MECHANICAI <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET� A/C—A/MNDLG UNITS—H.P. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA. _ <br /> LAVATORV(WASH BASIN) BOILERS—B.T.0/HP. �, <br /> SHO WER GAS FIRED A�C.UNITS—B.T.U. <br /> NITCHEN SINK 8 OISP. FORCED AIR SVSTEMS—B.T.U. M EA. <br /> OISHWASHER WALL NEATERS—B.T.U. M <br /> LAUNOPVTRAY UNITHEATERS—B.T.U. M <br /> CLOTHES WASHEP EVAPOR.ITIVE COO�ERS <br /> URINAL CLOTHESDRVERS <br /> DRINNING FOUNTAIN VENTILATION FAN <br /> FLOOR DRAIN RANGE HOOD <br /> BACKFLOW PREVENTERS WATER HEATER <br /> ROOFDRAINS—AAINLEAOERS 1 WOODSTOVE <br /> SINK(SERVICE—BAR,ETG.) METAL FIREPLACE d CHIMNEV <br /> FIREPLACEINSERT <br /> HEAT PUMP _ <br /> GAS PIPING <br /> EXHAUSTFAN <br /> SUBTOTAL f SUB <br /> PENMIT f �p <br /> TOTALFEE f TOT <br /> FRONT SETBACK NEAN SETBACN SiCE SETBnCK Pl AN CHECK NUMBER FEE RECEIPT NO. <br /> USEZONE ��T�pE� V�CANTSITE <br /> ❑res ❑r+o FEES VALUATION FEE <br /> TYPEOFCON51. OCCUPRNCYGROIIP NO.OFDWELUNGUNITS BUILDING � <br /> PLUMBING <br /> SIZE UF BLDG. NO Oi STORIES MA%.OCC.LOAD <br /> MECHAPiICAL <br /> INVE571'.ATION FEE ���fe) <br /> FIRESPFiINKLENSREOUIflED YES NO STATEBUILDINGSURCHARGE <br /> STATEENEpGYSURCHARGE <br /> AVPLICATIONACC BY PLANSCMECNEOOV APPR fOR15SUANCEOV <br /> DRIVEWAY PERMIT <br /> S.H. TOTAL 30 00 <br /> VERMR V�UOATION <br /> WHEN PROPERLV VALIDATED QN THIS SPACE)TMIS IS YOUF PERMIT CV <br /> �` <br /> �\� <br /> 0 <br /> N <br /> �o�,���ss Fr.: <br />